ERICKSON THERAPY AND SCHOOL PSYCHOLOGY (NPI# 1083265268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083265268 |
| Entity Type | Organization |
| Organization Name | ERICKSON THERAPY AND SCHOOL PSYCHOLOGY |
| Practice Address |
1175 S 800 E Orem UT 84097-7230 |
| Practice Telephone | 8018361846 |
| Practice Fax Number | 8017045066 |
| Mailing Telephone | 8017045066 |
| Mailing Fax Number | 8017045065 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | DR. MARTIN J ERICKSON (OWNER) |
| Authorized Official Telephone | 8017045066 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Progressive Paths Therapy | Doing Business As Name - Organization |
| Street Address |
1175 S 800 E |
| City | OREM |
| State | UT |
| Zip Code | 84097-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841367836 | Martin J Erickson | Marriage & Family Therapist | 1175 S 800 E, Orem, UT 84097-7230 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639186 | Brent Esplin | Marriage & Family Therapist | 626 N 1170 E, Orem, UT 84097-4430 | 2020-01-27 |
| 1588214811 | Pedro L Perez | Marriage & Family Therapist | 1141 N 1125 W, Orem, UT 84057-2882 | 2019-09-18 |
| 1871008938 | Terri L Moser | Marriage & Family Therapist | 1143 W Center St, Orem, UT 84057-5207 | 2017-12-11 |
| 1043752181 | Taylor Madsen | Marriage & Family Therapist | 648 N Bella Vista Dr, Orem, UT 84097-5430 | 2016-11-07 |
| 1487109211 | Cristiana Rodriguez | Marriage & Family Therapist | 1044 W 570 N, Orem, UT 84057-3576 | 2016-08-22 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| 1770947657 | Alex Jay Pratt | Marriage & Family Therapist | 1330 S 740 E, Orem, UT 84097-8081 | 2016-04-07 |
| 1457712713 | Elizabeth Collings | Marriage & Family Therapist | 776 S 600 W, Orem, UT 84058-6019 | 2016-03-15 |
| 1871998815 | Starla Leann Olson | Marriage & Family Therapist | 1450 E 820 N, Orem, UT 84097-5481 | 2014-11-04 |
| 1710326251 | Austin C Haacke | Marriage & Family Therapist | 1406 S Carterville Rd, Orem, UT 84097-7239 | 2013-06-18 |
| Find all providers in OREM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.